The nurse instructs a mother on actions to prevent sibling rivalry between a toddler and a newborn. Which observation indicates that instruction has been effective?

Mother sets aside afternoon time for the toddler while the baby naps.

Mother sleeps while newborn is sleeping.

Mother asks if the toddler likes the new baby.

Mother suggests family not bring gifts to the toddler until behavior changes.

Answer and Explanation

The Correct Answer is A

A. Mother sets aside afternoon time for the toddler while the baby naps.

Setting aside dedicated time for the older sibling when the newborn is napping demonstrates a proactive approach to ensuring the older child receives attention and feels valued, reducing the likelihood of resentment or rivalry.

B. Mother sleeps while newborn is sleeping:

While rest is important for the mother, this doesn't directly address the dynamics of sibling rivalry. It's essential to focus on positive interactions and attention for the toddler when the newborn is not requiring immediate care.

C. Mother asks if the toddler likes the new baby:

While communication is important, simply asking if the toddler likes the new baby may not be sufficient to prevent sibling rivalry. Actions and dedicated time are often more impactful.

D. Mother suggests family not bring gifts to the toddler until behavior changes:

Delaying gifts based on behavior may create an association between gifts and behavior change, which might not be the most effective approach. Positive reinforcement and attention are often more beneficial in preventing rivalry.

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Correct Answer is ["25"]

Explanation

To calculate the drops per minute for an IV infusion, we need to use the following formula:

gtt/min = (volume x drop factor) / time

In this case, the volume is 50 mL, the drop factor is 20 gtt/mL, and the time is 40 minutes. Plugging these values into the formula, we get:

gtt/min = (50 x 20) / 40

gtt/min = 1000 / 40

gtt/min = 25

Therefore, the adolescent patient should receive 25 drops per minute of Cefazolin IV.

A. “My child has a vocabulary of approximately 20 words.” B. “My child is still thumb sucking.” C. “My child seems to be quite wary of strangers.” D. “My child is able to stand but is not yet taking steps independently.”

Correct Answer is D

Explanation

A. “My child has a vocabulary of approximately 20 words.”

This statement indicates language development, and an 18-month-old with a vocabulary of approximately 20 words is within the expected range. It's a positive indicator of language acquisition.

B. “My child is still thumb sucking.”

Thumb sucking is a common self-soothing behavior in infants and toddlers. While it's a normal behavior, it typically decreases with age. Thumb sucking alone may not necessarily be a cause for concern unless it persists significantly and interferes with other aspects of development.

C. “My child seems to be quite wary of strangers.”

Stranger anxiety is a normal developmental stage, and many children exhibit wariness or fear of unfamiliar people around the age of 18 months. It is considered a typical response and not necessarily indicative of developmental delay.

D. “My child is able to stand but is not yet taking steps independently.”

At 18 months, most children are expected to be walking independently. The inability to take independent steps might be a concern for gross motor skill development. While some variation is normal, a delay in achieving this milestone might prompt further evaluation to rule out any underlying developmental issues.

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The nurse instructs a mother on actions to prevent sibling rivalry between a toddler and a newborn. Which observation indicates that instruction has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent patient is to receive 50 mL of Cefazolin IV over 40 minutes. With a tubing drop factor of 20 gtt/mL, how many drops per minute (gtt/min) should be given?

Correct Answer is ["25"]

Explanation

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

Correct Answer is D

Explanation

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